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12/10/24, 10:44 AM Vendor Agreement Information Form i City of Santa Ana <br /> Vendor Agreement Information Form <br /> This form requests the review and/or release of P025s in Lawson for payment facilitation <br /> purposes. Once a Purchasing staff member has released the P025 and approved this form, the <br /> requester will receive an automatic completion notification via email from LF Forms@santa-ana.org. <br /> Email* Department* <br /> wateradmin@santa-ana.org Public Works v <br /> Request for* Is This an Aggregate Agreement/Contract* <br /> Update Insurance Expiration Only v 0 Yes <br /> No <br /> Upload approved COI at bottom of form* <br /> List Other Vendors Awarded <br /> Note:A separate form will be required for each vendor. <br /> Agreement#* Link* City Council Approval Date <br /> N-2024-138 J http://clerk/Weblink/DocVie 3/20/2024 <br /> Staff Report Link PO#* Vendor Agreement Reference <br /> 8758 (copy & paste)* <br /> P3 ADAPTIVE 240320 24 <br /> Vendor ID* Vendor Name* <br /> 63144 P3 ADAPTIVE <br /> https://ecros.santa-ana.org/Forms/Vendor-Agreement-Information 1/2 <br />